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一个成年人因梅克尔腹引起的大规模胃肠道出血:一个病例报告
Ludan Zheng1,2, Liangliang Li2, Yubin Huo2
1General Surgery Department, Ningbo No. 2 Hospital, Ningbo, Zhejiang, People's Republic of China.
International medical case reports journal
|October 2, 2025
概括
在成年人中,由于Meckel的分流器而导致的大规模胃肠道出血是罕见的. laparoscopic 和 endoscopic 的结合方法成功诊断和治疗了这种情况,强调了多式模式策略对于罕见的出血原因的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 儿科手术 儿科手术
背景情况:
- 梅克尔分歧是儿童常见的先天性异常,但在成年人中很少见.
- 并发症包括胃肠道出血,分泌炎和穿孔.
- 在成年人中,来自梅克尔分泌体的大量胃肠道出血非常罕见,并且在诊断上具有挑战性.
研究的目的:
- 报告一个罕见的成年人巨大的胃肠道出血的病例,由梅克尔的分流器引起.
- 突出诊断挑战和综合外科内镜方法的有效性.
主要方法:
- 一个41岁的男性患有急性血和血红蛋白显著下降的病例报告.
- 利用对比增强的计算机断层扫描和中腔管血管学.
- 采用了 laparoscopic 和 endoscopic 的联合诊断和治疗策略.
主要成果:
- 最初的成像和内镜无法识别出血源.
- 介肠血管造影局部化了出血血管,但栓塞没有成功.
- 结合了腹腔镜和内镜的方法,成功地确定了梅克尔的分流器作为出血源.
- laparoscopic 肠切除证实了梅克尔的分离体与异位胃组织.
结论:
- 在成年人中,梅克尔的分泌体诱导出血是严重的,罕见的,并呈现出非特异性症状.
- 多式诊断和治疗策略,整合腹腔镜和内镜,对于成功的管理至关重要.
- 这一案例强调了严重下胃肠道出血的罕见病因,以及手术和内镜联合干预的有效性.
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